Menopause symptoms can affect sleep, mood, and everyday quality of life in ways that are easy to dismiss but hard to ignore. Kathryn Macaulay, M.D., Director, UC San Diego Menopause Health Program, explains what menopause is, when hormone therapy is considered, and why treatment decisions depend on symptoms, health history, and individual risk. Macaulay also addresses hot flashes, night sweats, osteoporosis prevention, and the factors that shape whether hormone therapy is a good option. She helps clarify why menopause care is not one size fits all and points toward more informed conversations about symptom relief and long-term health. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 41521]